A client with type 1 diabetes presents to the diabetes educator and asks about a change in insulin. The client’s occupation requires long international flights, and the client does not want to administer insulin on the plane.
What kind of insulin would best meet this client’s needs?
Aspart.
Lispro.
Glulisine.
Glargine.
.
The Correct Answer is D
Glargine is a long-acting insulin that can provide a steady level of insulin for up to 24 hours. This would be suitable for a client who does not want to administer insulin on the plane, as they would only need one injection per day.
Choice A. Aspart is wrong because aspart is a rapid-acting insulin that has a peak effect within 1 to 3 hours and lasts for 3 to 5 hours.
This would require frequent injections and monitoring of blood glucose levels.
Choice B. Lispro is wrong because lispro is also a rapid-acting insulin that has a similar onset and duration as aspart.
It would not provide adequate coverage for a long international flight.
Choice C. Glulisine is wrong because glulisine is another rapid-acting insulin that has an onset of 15 minutes and a duration of 2 to 4 hours.
It would also require multiple injections and frequent blood glucose checks.
Normal ranges for blood glucose levels are 70 to 130 mg/dL before meals and less than 180 mg/dL after meals.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
This is because prednisolone can cause insomnia if taken later in the day, and it mimics the natural secretion of cortisol by the adrenal glands, which peaks in the morning.
Choice A is wrong because splitting the dose into two equal doses can increase the risk of adrenal suppression and reduce the efficacy of alternate-day therapy (ADT), which is used to minimize adverse effects of corticosteroids.
Choice B is wrong because taking prednisolone before bedtime can interfere with sleep and cause nocturnal cortisol secretion, which can lead to Cushing syndrome.
Choice C is wrong because taking prednisolone 1 hour before meals can cause gastric irritation and ulceration, and it is recommended to take it with food or milk.
Correct Answer is A
Explanation
Loratadine is a second-generation antihistamine that does not cause drowsiness or sedation as a common side effect. It can relieve the symptoms of seasonal rhinitis such as sneezing, runny nose, and itching.
Choice B. Diphenhydramine is wrong because it is a first-generation antihistamine that can cause drowsiness or sedation as a common side effect.
It can also cause dry mouth, blurred vision, and urinary retention.
Choice C. Hydroxyzine is wrong because it is also a first-generation antihistamine that can cause drowsiness or sedation as a common side effect.
It can also cause dry mouth, blurred vision, and urinary retention.
It is mainly used for anxiety and itching.
Choice D. Dexchlorphen
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